Evidence map›Paper›PMID 31814209›Full record

Trial reportInternational journal of methods in psychiatric research2020

Theranostic markers for personalized therapy of spider phobia: Methods of a bicentric external cross-validation machine learning approach.

Hanna Schwarzmeier, Elisabeth Johanna Leehr, Joscha Böhnlein, Fabian Reinhard Seeger, Kati Roesmann, Bettina Gathmann, Martin J Herrmann, Niklas Siminski, Markus Junghöfer, Thomas Straube and 2 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyClinical Trial
In one paragraph

Trial report in International journal of methods in psychiatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03208400 (Exposure Treatment in Anxiety Disorders), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03208400 nacompletednot on this map

Exposure Treatment in Anxiety Disorders: Proof of Principle for an a Priori Response Prediction Approach

TypeinterventionalSponsorJulius-Maximilians UniversityRan2017 to 2020Enrolled338ConditionsSpecific Phobia, Cognitive-behavioral Therapy, Virtual RealityArmsvirtual reality exposure
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Hanna SchwarzmeierDepartment of Psychiatry, Psychosomatics, and Psychotherapy, Center for Mental Health, University Hospital of Würzburg, Würzburg, Germany.ORCID 0000-0002-7341-4744
Elisabeth Johanna LeehrDepartment of Psychiatry and Psychotherapy, University of Münster, Münster, Germany.
Joscha BöhnleinDepartment of Psychiatry and Psychotherapy, University of Münster, Münster, Germany.ORCID 0000-0002-9870-5599
Fabian Reinhard SeegerDepartment of Psychiatry, Psychosomatics, and Psychotherapy, Center for Mental Health, University Hospital of Würzburg, Würzburg, Germany.
Kati RoesmannInstitute for Biomagnetism and Biosignalanalysis, University of Münster, Münster, Germany.
Bettina GathmannInstitute of Medical Psychology and Systems Neuroscience, University of Münster, Münster, Germany.
Martin J HerrmannDepartment of Psychiatry, Psychosomatics, and Psychotherapy, Center for Mental Health, University Hospital of Würzburg, Würzburg, Germany.
Niklas SiminskiDepartment of Psychiatry, Psychosomatics, and Psychotherapy, Center for Mental Health, University Hospital of Würzburg, Würzburg, Germany.
Markus JunghöferInstitute for Biomagnetism and Biosignalanalysis, University of Münster, Münster, Germany.
Thomas StraubeInstitute of Medical Psychology and Systems Neuroscience, University of Münster, Münster, Germany.
Dominik GrotegerdDepartment of Psychiatry and Psychotherapy, University of Münster, Münster, Germany.
Udo DannlowskiDepartment of Psychiatry and Psychotherapy, University of Münster, Münster, Germany.
University of Münster · DEUniversitätsklinikum Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEmbedded in the Collaborative Research Center "Fear, Anxiety, Anxiety Disorders" (CRC-TRR58), this bicentric clinical study aims at identifying biobehavioral markers of treatment (non-)response by applying machine learning methodology with an external cross-validation protocol. We hypothesize that a priori prediction of treatment (non-)response is possible in a second, independent sample based on multimodal markers.

methodsOne-session virtual reality exposure treatment (VRET) with patients with spider phobia was conducted on two sites. Clinical, neuroimaging, and genetic data were assessed at baseline, post-treatment and after 6 months. The primary and secondary outcomes defining treatment response are as follows: 30% reduction regarding the individual score in the Spider Phobia Questionnaire and 50% reduction regarding the individual distance in the behavioral avoidance test.

resultsN = 204 patients have been included (n = 100 in Würzburg, n = 104 in Münster). Sample characteristics for both sites are comparable. DISCUSSION: This study will offer cross-validated theranostic markers for predicting the individual success of exposure-based therapy. Findings will support clinical decision-making on personalized therapy, bridge the gap between basic and clinical research, and bring stratified therapy into reach. The study is registered at ClinicalTrials.gov (ID: NCT03208400).

Indexed as

Virtual Reality Exposure TherapyAdultBiomarkersFemaleHumansMachine LearningMaleOutcome Assessment, Health CarePhobic DisordersPrecision MedicineYoung AdultBiomarkersmachine learningspider phobiatheranostic markers

Identifiers

PMID31814209
PMCPMC7301283
OpenAlexW2992028346

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.